18 Zvimwe Zvimwe Zvokuchinja Zvimwe Zvokuvhiya
Osteoarthritis yemabvi anogona kukufambisa, chaizvoizvo uye nenzira yokufananidzira. Kwete chete kunorwadza nekuoma kwekuita zvinowedzera zvakaoma kufamba zvakanaka, asi kusarudza pakurapa kwebvio osteoarthritis kunogona kushamisa. Kune nzira dzakawanda dzekutarisana nemamiriro aya. Dzimwe dzinonzi dzakachengeteka uye dzinoshanda neAmerican Academy of Orthopedic Surgeons (AAOS), uye dzimwe dzisiri, saka zvinogona kubatsira kuti uve nemanzwiro ekurapa kunorudzirwa uye izvo zvisina kufanana newe uye chiremba wako kuronga kuburikidza nemikana .
Hezvino izvo zvinonzi American Academy of Orthopedic Surgeons (AAOS) inotaura nezvemishonga 18 isingasvikiki yegondo osteoarthritis , yakabva kune maitiro akasiyana ehuchapupu. Vanomira pfupi kusanganisira kushandiswa kwemabvi asi ramba uchifunga mupfungwa iyo inogona kuva yakanakisisa yekurapa kwako. Usati waverenga, tarisa kuti mazano eAAOS anotaura nezvevanhu vane zviratidzo zvemabvi osteoarthritis, zvakadai sekurwadziwa pamwe chete uye kuoma . Hazvirevi semazano kune avo vakambove nemabvi X-ray anoratidza uchapupu hwekubatana kwekubatana asi vasina huno zviratidzo.
Yakarongwa Mishonga yeKnee Osteoarthritis
1. Kuvandudza, dzidzo, uye hutano mabasa. Izvi zvinosanganisira kubatanidzwa muzvirongwa zvekutonga uye nekugadzirisa mubasa kana zvichibvira kuchengetedza majoi ako (somuenzaniso, kufamba kana kushambira panzvimbo yekushandira cardio muviri).
2. Mishonga yokurapa pamarwadzo. Mamwe mazwi uye mapurisa asina-steroidal anti-inflammatory drugs (NSAIDs) anokurudzirwa zvakanyanya pakubvisa marwadzo nekuputika.
Chirongwa che opioid narcotic tramadol chinowanikwawo zvakakosha kubva kuAAOS mukurapa marwadzo kubva pamabvi osteoarthritis.
3. Kuremerwa nekurema. Kana iwe uri kunyanya kuwandisa , kunotsanangurwa nokuve nemuviri mashoma index (BMI) mukuru kupfuura makumi maviri, iwe uchabatsirwa zvikuru nekurashikirwa ne5 muzana yemuviri wako wehutano nekuchengetedza uremu hwezasi kuburikidza nekudya uye zvekurovedza muviri.
4. Gare gare chidenderedzwa. Aya ndiwo insoles anokwidziridza nechekunze kwerutsoka kuitira kuti ashandise nzira iyo mabhii anoshanda. IAAOS inomanikidzira kuti haitauri gare gare chitsitsinho chepakati kune vanhu vane miviri yepakati yemabvi osteoarthritis.
5. Nyuchi inopisa. Iyi ndiyo tsika yekugeza kunze. IAAOS haina kupa mazano pamusoro payo asi vanoti vanachiremba vanofanira kunge vari kutarisira kutsvakurudza kutsva. Icho chidzidzo chepamusoro-soro chakawana pasina rubatsiro rwuripo.
6. Tibial osteotomy. Kunyange zvazvo zvidzidzo zvichiri kutsigira izvi, mune imwe chikamu chetibia (rimwe remapfupa maviri emuzasi ari pasi rakagadzikana pasi pemabvi akabatanidzwa) rinobviswa, ndeyepasi rakaderera, AAOS haitauri pamusoro payo.
Zvirwere Zvisina Kubvuma Uchapupu
7. Mishonga, kusanganisira electrotherapeutic. Izvi zvinosanganisira transcutaneous magetsi emhepo anokurudzira (TENS); shortwave diathermy; inferential current; kushandiswa kwemaitiro emimhanzi inonzi modulated electromagnetic field (TAMMEF); uye ultrasound. Pakati peizvi, ultrasound ine humwe uchapupu huri kuratidza kuti hunogona kubudirira, asi huwandu hune hutsva hutsva hunotsvakurudza kuti utonge zvakakwana chero hupi hwezvirapa izvi, maererano nemitemo yeAAOS.
8. Bhuku rekurapa. Izvi zvinosanganisira chiropractic therapy, myofascial release, uye Swedish massage. IAAOS haisi yepamusoro kana ichirapa kurapwa uku.
9. Knee brace. Muenzaniso webvi rinosungirirwa, iyo yakagadzirirwa kutora matambudziko kubva mumabvi emukati kune munhu ane osteoarthritis inotarisa ipapo. Zvidzidzo zvekubudirira kwemabvi emabvi hazviratidzi kana zvichibatsira kana kwete.
10. Acetaminophen, opioids, uye kurwadziwa. Kunyange zvazvo kune humwe uchapupu hwekuti NSAID dzakabudirira pakurapa bhete osteoarthritis, juri rinenge risiri kunze kweNSAID (kunze kwe tramadol).
11. Injected corticosteroids. Intra-articular corticosteroids injected into joint joint. Hazvinyatsozivikanwa kuti sei rubatsiro urwu runogona kubatsira kune osteoarthritis yemabvi.
12. Biologic injections: Handizvo kana zvinopikisa majekesiti nekura kukura kana platelet-rich plasma.
13. Arthroscopic partial meniscectomy : Kana iwe une zviratidzo uye zviratidzo zvemadzinesi akareka kana muviri wakasununguka, havagoni kukurudzira kana kupikisa izvi.
Mishonga Isingarumbidzwi
14. Glucosamine uye chondroitin. Kunyange zvazvo glucosamine uye chondroitin zvinhu zvose zviri zviviri zvinowanzoitika mumasangano, AAOS inokurudzira zvakasimba kusavaita nenzira yezvokudya zvinowedzera pakurapa osteoarthritis yemabvi.
15. Viscosupplementation. Iro kurapa kunosanganisira kuvhara hyaluronic acid, iyo inokosha inhengo ye synovial fluid iyo inokonzera uye inogadzirisa manotsi, munzvimbo iyo mapfupa emajoini anosangana nawo. IAAOS haina kukurudzira intra-articular hyaluronic acid injections knee osteoarthritis.
16. Kugadziriswa : Pane humwe hwakasimba huchapupu huripo hunoita kuti urege kurwadziwa hunoenderana nehope ye osteoarthritis.
17. Arthroscopy ine kukanganisa kana kupisa . Iyi ndiyo nzira iyo mavara akaora akabviswa kubva pakati pezvibatanidze zvisingaiti.
18. Unispacer. Iri ndiro chigadzirwa chakasununguka-chinokambaira chinopa chikwereti chinorasika, iyo iyo AAOS inoti haifaniri kuiswa kune mumwe munhu ane zviratidzo zvekufananidza unicompartmental knee osteoarthritis.
Sources:
American Academy of Orthopedic Surgeons. " Kurapa kweOsteoarthritis yeKnee: Uchapupu-Hwakatungamirirwa Nhungamiro, Kubudiswa Kwepiri ." May 18, 2013.
> Battisti E, et al. "Kubudirira uye kuchengeteka kweMimhanzi yeModulated Electromagnetic Field (TAMMEF) muVachirwere Vakatambudzwa neKnee Osteoarthritis." Clin Exp Rheumatol . 2004 Sep-Oct; 22 (5): 568-72.
> Duivenvoorden T, et al. "Kushushikana neOrsesse Nokubata Osteoarthritis yeKnee." Cochrane Database Syst Rev. 2015 Mar 16; (3): CD004020. doi: 10.1002 / 14651858.CD004020.pub3.
> MedLine Plus. "Zvinodhaka, Herbs, uye Zvokudya: Tramadol." Apr 2017.
> National Institutes of Health. "Glucosamine uye Chondroitin yeOsteoarthritis." Nov 2014.